| Doctor Name: | MARY KATHLENE SMITH-CRASE |
| NPI Number: | 1043517923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | R0067810 |
| Business Practice Address: | 1505 E Main St Stigler, OK - 744622913 |
| Business Phone Number: | 9189673368 |
| Business Fax Number: | 9189674582 |
| Mailing Address: | Po Box 179, STIGLER |
| State: | OK |
| Postal Code: | 744620179 |
| Phone Number: | 9189673368 |
| Fax Number: | 9189674582 |
| NPI Enumeration Date: | 02/11/2011 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R0067810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |